Lifespan School of Medical Imaging

Lifespan School of Medical Imaging Secondary Concentration Application

Use the form below to apply.

Application Requirements

Possess a current Rhode Island Radiation License in nuclear medicine technology (NMT) or radiography technology (RT) at the start of clinical education.
Be a registered technologist and in good standing with the American Registry of Radiologic Technologists (ARRT) and/or Nuclear Medicine Technology Certification Board (NMTCB).
Submit the application below by July 1.
Submit official copies of transcripts (sealed) from all medical imaging programs issued within six months of application.

More Information

If you have any questions, visit our website or contact us at:

335R Prairie Avenue / Suite 2A
Providence, Rhode Island 02905
Telephone: 401-606-8531
Email: lsmi@lifespan.org

Application Form

First Name

Middle name

Last Name

Street Address 1

Street Address 2

City

State

ZIP Code

Best Telephone Number to Reach You

Email Address

Work Experience

Name of most recent employer

Position

Start Date

End Date

Reason for Leaving

Name of next most recent employer

Position

Start Date

End Date

Reason for Leaving

Program Application

Choose the Program to which You Are Applying

CT (Computed Tomography)

Mammography

Lifespan School of Medical Imaging Essay Submission

Essays should:

Be typed
Include your name
Use 12-point font, Times New Roman
Be a minimum of 1 page (3 pages maximum)

Answer the following questions:

Which modality/modalities are you applying for? Provide specific reasoning for why you chose the modality/modalities.
What is your interest for applying into a Medical Imaging program?
What attributes do you possess that will allow you to be successful in a Medical Imaging program?

Upload your application essay here.

One file only.
512 MB limit.
Allowed types: txt, rtf, pdf.

Please Read Carefully Before Signing

I am able to perform the physical and mental/attitudinal tasks required as a medical imaging student.

I understand that this application will be considered on the basis of the information that I have furnished. Any false, misleading, or incomplete statement(s) made by me, or any omissions of required documents shall prevent this application from being fully processed or shall be cause for immediate discharge in the event of my acceptance to the program.

I agree that providing my name electronically to this agreement is the legal equivalent of my manual signature and that all information contained in this application is accurate.

Signature

Diversity and Inclusion

The Lifespan School of Medical Imaging admits students of any race, sex, and national or ethnic origin to all rights, privileges, programs, benefits, and activities generally accorded or made available to the school. It does not discriminate on the basis of race, color, gender, sexual orientation, gender identification or expression, genetic information, religion, national or ethnic origin, veteran or disability in administration of its educational policies.